Individual
MRS. SUSAN ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
945 W 8TH ST, MESA PUBLIC SCHOOLS WESTWOOD HIGH SCHOOL, MESA, AZ 85201-3999
(480) 472-4400
(480) 472-4509
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201
(480) 472-0727
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636970
—
AZ
Enumeration date
04/16/2007
Last updated
07/08/2007
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